Medicated sleeve

ABSTRACT

Embodiments of the invention provide a stretchable sleeve having a medicinal section that can be loaded with a medicinal composition and a perforated section comprising a plurality of openings, wherein the medicinal section and the perforated section overlap, and wherein the sleeve is sized so that the interior surface of the medicinal section comfortably fits a body portion and the medicinal section contacts the body portion at the site of pain. Embodiments of the invention also provide methods for preparing a sleeve by applying a medicinal composition to the inner surface of the medicinal section through the openings at the perforated section. Embodiments of the invention also provide methods for relieving pain in a body portion by pulling the sleeve in an outside-out configuration straight up a body portion without having to roll and flip its exterior surface outside.

CROSS-REFERENCES TO RELATED APPLICATIONS

This application claims priority from and is a Continuation applicationof U.S. patent application Ser. No. 11/525,632, filed Sep. 22, 2006.This application also claims the benefit under 35 U.S.C. §119(e) of U.S.Provisional Application No. 60/811,165 filed on Jun. 5, 2006. Thisapplication also claims the benefit under 35 U.S.C. §119(e) of U.S.Provisional Application No. 60/834,710 filed on Aug. 1, 2006. The entirecontents of each of the prior applications are hereby incorporated byreference.

BACKGROUND OF THE INVENTION

Various devices for applying medication through the skin are known inthe art and are also commercially available. For example, minor musclepains and arthritic pains can be relieved by applying patches containingtopical analgesics (e.g., Tiger Balm patch, Bengay patch, and Icyhot®patch). When the site of pain is at or near a joint, the Icyhot®medicated sleeve manufactured by Chattem Inc. is particularly useful.This product is in the shape of a cylindrical sleeve made of a knittedfabric and has a region in the middle of the sleeve containing a mentholcomposition. Unlike medicated patches, sleeves provide extra flexibilityand comfort when worn around joint areas.

While the Icyhot® medicated sleeve is a good product, it is somewhatcomplicated to manufacture and cumbersome to use. For example, thesesleeves are manufactured and packaged in an inside-out configurationsuch that when a consumer opens a pouch, the inner surface of the sleeveis facing outward and is visible to the consumer. It appears that thisinside-out configuration of the sleeve allows the manufacturer to applya medicinal composition to the inner surface of the sleeve, whichsurface is intended to contact the skin. Then, on the pouch, themanufacturer provides illustrated directions for a consumer to initiallypull up a sleeve in an inside-out configuration onto a leg or an arm,then roll and flip the sleeve into an outside-out configuration andcontact the medicated area at the site of pain. This manufacturingprocess and directions for use for the Icyhot® medicated sleeve arecomplicated and cumbersome. Moreover, consumers may not even followillustrated directions on the pouch and may pull the sleeve up straightin an inside-out configuration, thereby not receiving the full dose of amedication as intended by the manufacturer.

Therefore, there is a clear need in the art to overcome the above notedproblems. Embodiments of the present invention provide solutions tothese problems and meet other needs.

SUMMARY OF THE INVENTION

The present invention provides a medicated sleeve that is unique indesign and function. The present sleeve can be pulled up straight, outof a pouch, without requiring a consumer to roll and flip its exteriorsurface outside. More specifically, the present invention relates to astretchable sleeve having a first open end and a second open end,wherein the two open ends are interconnected by a passage surrounded byan interior surface of the sleeve, the sleeve comprising: (a) amedicinal section adapted to be loaded with a medicinal composition; and(b) a perforated section comprising a plurality of openings, wherein themedicinal section and the perforated section overlap, and wherein thepassage of the sleeve is sized so that the interior surface of thesleeve contacts a body portion when the body portion is inserted intothe passage of the sleeve through the open ends. Since the stretchablesleeves of the present invention are flexible and breathable, they areespecially comfortable when worn around the joint areas as well as otherareas of the body.

The present invention also relates to methods of preparing a sleeve ofthe invention by providing a sleeve in an outside-out configuration,applying a medicinal composition at the interior surface of themedicinal section through the openings at the perforated section of thesleeve, and packaging the sleeve in an outside-out configuration in apouch.

The present invention further relates to a method of relieving pain in abody portion by pulling a sleeve of the present invention in anoutside-out configuration straight up the body portion without having toroll and flip its exterior surface outside.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 a is a top plan view of a sleeve according to one embodiment ofthe present invention.

FIG. 1 b is a side plan view of the sleeve shown in FIG. 1 a.

FIG. 1 c is another side plan view of the sleeve shown in FIG. 1 a,showing the opposite side of FIG. 1 b.

FIGS. 2 a and 2 b show a process of applying a sleeve around an elbow.

FIG. 3 a shows a sleeve with a line which can be cut to insert a thumbor a big toe.

FIG. 3 b shows a sleeve which has been cut to create a thumb hole sothat it can be applied around a wrist.

DETAILED DESCRIPTION OF THE INVENTION

The present invention provides a stretchable sleeve with unique featuresso that a sleeve need not be flipped inside out for a manufacturer todose a medicinal composition to the interior surface of the sleeve. Thepresent sleeves are manufactured and packaged in an outside-outconfiguration so that when a consumer opens a pouch, an outside orexterior surface of the sleeve is visible to the consumer. Therefore, aconsumer can pull the present sleeve straight up, like a sock, out of apouch and need not roll and flip the sleeve into an outside-outconfiguration as in the prior art. Manufacturing and packaging a sleevein a correct configuration reduce a chance that a consumer may pull upthe sleeve in a wrong configuration, thereby increasing the likelihoodthat a consumer will receive a maximum dose of a medicinal compositionas intended by the manufacturer.

Generally, embodiments of the invention provide a sleeve comprising amedicinal section that is adapted to be loaded with a medicinalcomposition and a perforated section comprising a plurality of openings.In embodiments of the invention, the perforated section and themedicinal section are positioned in a sleeve so that at least portionsof the two sections overlap. The term “overlap” can include a situationwhere at least a portion of the perforated section is capable ofextending over and covering a part or all of the medicinal section, orvice versa. For example, when the passage of the sleeve is collapsed andthe sleeve is flattened onto itself, the perforated section is capableof overlaying on top of the medicinal section. Depending on the size ofeach section, the locations of the two sections can vary. In oneembodiment, the two sections may be located adjacent to each other in asleeve. In another embodiment, the two sections may be locatedcircumferentially opposite side of each other (e.g, if one were to lookat a cross section of a sleeve that is cylindrical in shape, a midpointof the medicinal section is located at one end of a diameter and amidpoint of the perforated section is located at the other end of thediameter). In yet another embodiment, the two sections may be adjacentto each other and also are located circumferentially opposite side ofeach other when the two sections occupy almost entire middle part of thesleeve as shown in FIGS. 1 a-1 c.

Because of the plurality of openings at the perforated section, amedicinal composition can be applied (e.g., by spraying) onto aninterior surface of the medicinal section, through the openings of theperforated section, even though a sleeve is in an outside-outconfiguration. Therefore, a manufacturer need not have a sleeve in aninside-out configuration to apply a medicinal composition. Consequently,a consumer may open a pouch containing a sleeve in an outside-outconfiguration and pull the sleeve straight up his or her body portion,like a sock, without having to roll and flip the sleeve into a correctconfiguration as in the prior art.

Embodiments of the invention are further described by referring to thedrawings. It is noted that the drawings are merely illustrative ofembodiments of the invention and are not meant to limit the scope of thepresent invention in any way.

Turning to the drawings, FIG. 1 a shows a top plan view of a stretchablesleeve 10 according to one embodiment of the invention. The sleeve 10 isgenerally cylindrical or tubular in shape, and has a first open end 12and a second open end 13. The two ends are interconnected by a passage14 which is surrounded by an interior surface 11 of the sleeve 10. Thepassage 14 is large enough so that it can accommodate any suitable bodyportions, particularly joint areas such as an elbow, knee, wrist orankle. The sleeve 10 may further comprise resilient bands 19 and 20 nearopen ends 12 and 13, respectively. In some embodiments, the bands 19 and20 may be ribbed to provide additional resilience. The resilient bands19 and 20 act like a garter to secure the sleeve at a desired bodylocation and to minimize slipping of the sleeve during body movement.

The sleeve 10 can be made of any suitable material as long as it can bestretched to fit a body portion and has sufficient elasticity to contactthe skin (particularly at the medicinal section 15) and to stay on thebody portion. For example, it can be an elastic polymeric material, awoven, nonwoven or knitted fabric, or any combinations thereof.Preferably, the sleeve 10 is generally tubular or cylindrical in shapeand is made of a knitted fabric. More preferably, the sleeve 10 is aseamless, circularly knitted sleeve so that it does not create anyundesired crease on the skin when the sleeve is worn by a consumer for aprolonged period of time.

In an embodiment where a sleeve is made of knitted fabric, a variety offibers may be used to prepare a sleeve. While the term “fiber” is usedthroughout the application, the “fiber” can mean a thread, filament oryarn as long as it can be used to knit a sleeve. In embodiments of theinvention, the use of synthetic fibers is preferred over natural fibers,because synthetic fibers generally possess a better tensile strength.For example, synthetic fibers, such as polyamide, polyester orpolyolefin, may be used in making a sleeve. The sleeve may furthercomprise spandex or other elastic fibers to provide additionalstretchability and resilience.

The sleeves of the present invention can be produced in differentdimensions (e.g., lengths and diameters) to accommodate different bodyportions and consumers of different sizes. For example, a sleevedesigned for a knee area is generally larger in diameter and length thana sleeve designed for an elbow area. In general, the length of thesleeve in a relaxed state (i.e., an unstretched state prior to insertinga body portion) may range from about 5 cm to about to 40 cm, morepreferably about 8 cm to about 30 cm, and even more preferably about 10cm to about 25 cm. The diameter of the sleeve in a relaxed state mayrange from about 2 cm to about 15 cm, more preferably about 3 cm toabout 10 cm, even more preferably about 4 cm to about 8 cm. Suitablecombinations of different lengths or diameters for a sleeve can bereadily determined by a manufacturer.

The sleeves of the present invention can also be produced to havedifferent compression levels by selecting suitable materials anddimensions for a sleeve. For example, a compression level for a sleevemay vary from about 5 mmHg to about 60 mmHg. A sleeve having acompression level of about 5 mmHg to about 15 mmHg provides a lightsupport like a regular pantyhose. A sleeve having a compression level ofabout 15 mmHg to about 20 mmHg provides a light to moderate compression,and it is useful in reducing mild swelling and fatigue of extremities. Asleeve having a compression level of about 20 mmHg to about 30 mmHgprovides a moderate compression and provides relief from moderatevaricosities with mild to moderate edema. A sleeve having a compressionlevel of about 30 mmHg to about 50 mmHg provides a firm compression andprovides relief from severe varicosities and severe edema. In apreferred embodiment, a sleeve has a compression level of about 5 mmHgto about 15 mmHg and fits a consumer's body portion snugly andcomfortably.

In the middle part of the sleeve 10, the medicinal section 15 is locatedon one side, and the perforated section 16 that has a plurality ofopenings 17 is located on the other side as shown in FIG. 1 a. Inembodiments of the invention, the two sections 15 and 16 are positionedso that they overlap when the passage of the sleeve is collapsed and thesleeve is flattened onto itself. As shown in FIGS. 1 a-c, the twosections are adjacent to each other and are located on thecircumferentially opposite side of the sleeve and occupy almost entiremiddle part of the sleeve (e.g., about 40% to 60% of the surface area ofthe sleeve). FIG. 1 b shows a side plan view of the sleeve 10 shown inFIG. 1 a, showing mostly of the perforated section 16. FIG. 1 c showsanother side plan view of the sleeve 10 shown in FIG. 1 a, showingmostly the medicinal section 15. The perforated section has a network ofmaterial 18, such as fibers, and interspaced therein are a plurality ofopenings 17.

The sizes of the medicinal section 15 and the perforated section 16shown in FIGS. 1 a-c are merely illustrative and may vary depending onthe size of a body portion to be treated. For example, these twosections combined may occupy about 10% to about 90% of the surface areaof the sleeve 10. In another example, these two sections may occupyabout 20% to about 80% of the surface area of the sleeve 10. In yetanother example, these two sections may occupy about 40% to 60% of thesurface area of the sleeve 10. While the sizes of the two sections canbe different, in a preferred embodiment, the size of the medicinalsection 15 and the perforated section 16 are approximately the same. Thesimilarity in size allows a manufacturer to apply a medicinalcomposition (e.g., via spraying) to the entire interior surface of themedicinal section through the openings at the perforated section.

In embodiments of the invention, the medicinal section 15 furthercomprises a reinforcing material in addition to the sleeve material. Thereinforcing material may be of any suitable material and preferably hasa low moisture absorbing property. If the reinforcing material werehighly absorbent, then it may absorb the entire medicinal compositionand may not release it to a body portion when a sleeve is worn by aconsumer. For example, the reinforcing material may be synthetic fibers,such as polyester, nylon or polyolefin, or a synthetic foam that have alow moisture absorbing property. Preferably, the reinforcing material inthe medicinal section 15 is made of secondary fibers that are differentfrom primary fibers used to make the sleeve. In a preferred embodiment,the secondary, reinforcing fibers are terylene fibers. The reinforcingmaterial may be colored differently than the rest of the sleeve to helpa consumer locate an area of the sleeve that comprises a medicinalcomposition. For example, green, yellow or red fibers may beincorporated into the medicinal section 15, whereas the basic materialfor the sleeve is either white or skin-colored.

Any suitable active ingredients may be included in a medicinalcomposition in accordance with the present invention. For example, amedicinal composition may comprise one or more analgesics which providepain relief. These include salicylates, menthol, camphor, eucalyptusoil, spearmint oil, or a combination thereof. In some applications, themedicinal composition can also include nonsteroidal anti-inflammatorydrugs (NSAIs) such as salicylates or acetaminophen; steroidalanti-inflammatory (SAI) agents such as hydrocortisone; anesthetic agentssuch as benzocaine or lidocaine; or rubefacient agents such as capsicum.

In a preferred embodiment, a medicinal composition comprises menthol orits derivative as an active ingredient. An effective concentration of anactive ingredient may vary depending on the selection of a particularactive ingredient. For example, a medicinal composition may comprisementhol at a concentration of from about 1% to about 50%, from about 5%to about 30%, or from about 10 to about 20%, by weight of thecomposition. In certain embodiments, a medicinal composition comprises16% menthol by weight of the composition. A sleeve comprising ananalgesic, such as menthol, as an active ingredient is particularlyuseful in alleviating minor aches and pains of muscles and jointsassociated with arthritis, muscle strain, bruises and sprains.

In addition to an active ingredient, a medicinal composition typicallycomprises at least one excipient such as preservatives, antioxidants,moisturizers, emollients, buffering agents, solubilizing agents,penetration enhancers, and skin protectants. Ideal compositions for useas topical medicinal composition should disperse easily onto the skinand deliver their active ingredients in a way that allows a portion topenetrate the skin rapidly, for prompt relief, while also maintaining anactive reservoir on the surface of the skin to provide sustained relief.Ideally, the composition is formulated to enable neat and easyapplication with a minimal chance of staining clothes. Suitableexcipients in a topical medicinal composition are well-known in the art(see, e.g., M. Ramchandani and R.

Toddywala, “Formulation of Topical Drug Delivery Systems” in Transdermaland Topical Drug Delivery Systems, pp. 539-92 (T. K. Ghosh, W. R.Pfister and S. Yum, Eds. 1997), which is hereby incorporated byreference in its entirety).

As shown in FIGS. 1 a-c, the sleeve 10 has the perforated section 16comprising a plurality of openings 17. In one embodiment, the openings17 may be produced by burning a plurality of discrete holes through thesleeve material in the perforated section 16. In another embodiment, theperforated section 16 is like a mesh which is integral with the rest ofthe sleeve 10. For example, the perforated section 16 has a mesh or anetwork of fibers 18 with evenly spaced openings 17 in a sleeve made ofknitted fabric. In a preferred embodiment, the perforated section 16 isan integral part of the knitted fabric that is more loosely knitted thanthe rest of the sleeve 10. In this instance, the openings 17 in theperforated section 16 may be produced by changing a program for aknitting pattern in an automatic weaving machine.

The openings 17 in the perforated section 16 can be of any suitableshape and size as long as they are large enough to pass droplets of amedicinal composition. For example, the openings may be in the shape ofa circle, oval, triangle, square, rectangle or diamond. In embodimentsof the invention, the perforated section 16 is in the shape of a meshwith diamond shaped openings 17. Also, the size of openings may vary.For example, each opening may be about 0.3 mm to 3 cm in its longestdimension (e.g., diameter) in a relaxed state of the sleeve prior toinserting a body portion. In embodiments of the invention, each openingmay be about 1 mm to 2 cm, more preferably about 2 mm to 1 cm indiameter, in a relaxed state of the sleeve prior to inserting a bodyportion through the sleeve.

In embodiments of the invention, one or more short lines 21 of differentcolored fiber (e.g., black) may be incorporated near the open ends 12 or13 of the sleeve. These lines are designed to guide a consumer to cut ahole in a sleeve for a thumb or a big toe in the event that the site ofpain is at a wrist or ankle. The insertion of a thumb or a big toe intoa hole in a sleeve may assist in stabilizing the sleeve at the wrist orankle. The areas 22 shown in FIG. 1 a near the colored line 21 arereinforcement lines around the colored line 21 to prevent furtherripping when a consumer cuts a hole at the line 21.

A stretchable sleeve of the present invention may be prepared in manydifferent ways, depending on the base material that is used to make thesleeve. For example, if a sleeve is made of an elastic polymericmaterial, a seamless tubular material may be extruded from an extrusionmachine. The tubular material can then be cut into an appropriate lengthto produce a sleeve suitable for enclosing a body portion. Theperforated section may be produced in a mid-section of the extrudedtubular material by burning holes (e.g., via laser), or by punchingholes mechanically (e.g., needle-punching). The medicinal section may beincorporated using a suitable material such as foam, pads or fabric.

In a preferred embodiment, a stretchable sleeve of the present inventionis made of a knitted fabric and may be produced using an automaticweaving machine. Various automatic weaving machines such, as circularknitting machines, are known in the art. Generally, weaving interlacesthe weft threads (the horizontal threads) and the warp threads(lengthwise, or perpendicular to the weft) on a loom, while knittingintertwines fiber or thread in a continuous series of connected needleloops on a machine. The automatic weaving machines are usually equippedwith a patterning control device. As such, a mesh-like pattern on theperforated section 16 can be inserted at appropriate times during theknitting of the sleeve. The size of the holes and their shape in theperforated section 16 may be pre-programmed. The medicinal section 15can also be reinforced with secondary fibers at appropriate time duringthe knitting of the sleeve.

Once the sleeve 10 is manufactured, a medicinal composition can beapplied onto the medicinal section of the sleeve. In one embodiment, thesleeve (in an outside-out configuration with its exterior surface facingoutward) may be collapsed onto itself on a flat surface with theperforated section 16 facing the top and the medicinal section 15 facingthe bottom. In this configuration, a medicinal composition may beapplied (e.g., by spraying from an injection nozzle) from the top ontothe interior surface of the medicinal section 15 through the openings atthe perforated section 16. This process allows the interior surface ofthe medicinal section to have the highest concentration of a medicinalcomposition, without having to flip the sleeve inside out prior toapplying a medicinal composition.

In some embodiments, subsequent to applying a medicinal composition, theprepared sleeve may be flattened as shown in FIG. 1 a, so that theinterior surface of the medicinal section is flatly collapsed againstitself. Then the collapsed sleeve may be folded in one half lengthwise.The folded sleeve may then be positioned between a folded plasticsupport. The folded sleeve inside the folded plastic support can beinserted and sealed in an air-tight pouch to prevent evaporation of amedicinal composition.

Now turning to FIGS. 2 a and 2 b, a consumer can open a pouch and pullthe sleeve 10 straight up an arm (or any other body portion), like asock, since the sleeve is packaged in an outside-out configuration. Thena consumer may position the interior surface of the medicinal section 15at a site of a body portion where a relief of pain is desired (e.g., atan elbow). There is no need for a consumer to roll and flip the sleeveoutside-out as in the prior art. The production and packaging of asleeve in an outside-out configuration also increases the likelihoodthat a consumer will pull up a sleeve in a correct configuration withoutreading any instructions on the packaging and receive a full dosage of amedicinal composition.

FIGS. 3 a illustrates line 21 that may be cut to create a hole to inserta thumb or big toe. As shown in FIG. 3 b, after a hole is cut in thesleeve at line 21, a thumb can be inserted into the hole, and then asleeve can be pulled up and securely applied around a wrist.

EXAMPLE

Using an automatic weaving machine, a sleeve was woven with 70%polyamide fiber, 20% spandex fiber and 10% colored terylene fiber.

A medicinal composition was prepared using the following formulation:

Active Ingredient Menthol [KP] 16.0% Inactive ingredient diethyleneglycol monoethyl ether [NF] 4.00% diisopropyl adipate [KSCI] 10.00%EDTA-2Na [KP] 0.10% cabomer [NF] 0.35% glycerin [KP] 3.00% polysorbate80[KSCI] 2.00% ethanol [KP] 5.00% cethyl alcohol [KP] 1.00% glycerylstearate [KP] 0.50% aloe vera gel [KSCI] 0.50% PEG-150 distearate [KSCI]q.s sodium hydroxide [KSCI] q.s methyl paraben [KP] 0.15% water [KP] q.sKSCI: Korea Standard of Cosmetic Ingredients KP: Korea Pharmacopoeia %by weight of the composition

The above ingredients were mixed together to prepare a medicinalcomposition in a lotion form. For each sleeve, 2 grams of the medicinalcomposition was spread to the interior surface of the medicinal sectionin the sleeve using an injector system. The sleeve was packaged in anair-tight aluminum pouch.

It is understood that the examples and embodiments described herein arenot intended to limit the scope of the invention. Various modifications,alternative constructions and equivalents may be employed withoutdeparting from the scope of the appended claims. Moreover, one or morefeatures of any embodiments may be combined with any other feature ofany other embodiment in any manner without departing from the scope ofthe present invention.

All publications, patents and patent applications cited herein arehereby incorporated by reference for all purposes in their entirety.

1. A stretchable sleeve having a first open end and a second open end,wherein the two open ends are interconnected by a passage surrounded byan interior surface of the sleeve, the sleeve comprising: (a) amedicinal section adapted to be loaded with a medicinal composition; and(b) a perforated section comprising a plurality of openings, eachopening having a dimension of about 1 mm to about 2 cm in a relaxedstate of the sleeve, wherein the medicinal section and the perforatedsection are two discrete sections which are located on circumferentiallyopposite sides of the sleeve and only the perforated section has theplurality of openings in the sleeve, wherein the medicinal section andthe perforated section overlap when the passage of the sleeve iscollapsed and the sleeve is flattened onto itself, wherein the passageof the sleeve is sized so that the interior surface of the sleevecontacts a body portion when it is inserted into the passage of thesleeve through the open ends, wherein the medicinal section furthercomprises a reinforcing material made of secondary fibers that aredifferent from primary fibers used to make the sleeve, and wherein thereinforcing material is colored differently than the rest of the sleeve.2. The sleeve of claim 1, wherein the medicinal section and theperforated section together occupy about 40 percent to about 60 percentof the surface area of the sleeve.
 3. The sleeve of claim 1, wherein thesleeve is made of a knitted fabric and the perforated section is anintegrated part of the knitted fabric that is more loosely knitted thanthe rest of the sleeve.
 4. The sleeve of claim 1, wherein the medicinalsection is loaded with a medicinal composition comprising a menthol. 5.The sleeve of claim 3, wherein the medicinal composition is applied tothe interior surface of the medicinal section through the openings ofthe perforated section of the sleeve.
 6. The sleeve of claim 1, whereinthe sleeve is made of a knitted fabric.
 7. The sleeve of claim 6,wherein the medicinal section comprises a reinforcing material having alow moisture absorbing property.
 8. The sleeve of claim 7, wherein thereinforcing material is made of terylene fibers.
 9. The sleeve of claim6, wherein the medicinal section is loaded with the medicinalcomposition comprising an analgesic as an active ingredient.
 10. Thesleeve of claim 9, wherein the active ingredient is a menthol.
 11. Thesleeve of claim 10, wherein the perforated section is in the form of amesh.
 12. The sleeve of claim 6, wherein the perforated section is anintegral part of the knitted fabric that is more loosely knitted thanthe rest of the sleeve.
 13. The sleeve of claim 1, wherein the medicinalsection and the perforated section of the sleeve are about the samesize.
 14. The sleeve of claim 6, wherein the sleeve comprises aresilient hand around at least one open end of the sleeve to assistsecuring the sleeve around the body portion.
 15. The sleeve of claim 6,wherein the sleeve has a compression level between about 5 mmHg to about15 mmHg.
 16. A method of preparing a stretchable sleeve, the methodcomprising: (a) providing the sleeve in an outside-out configuration,the sleeve having a first open end and a second open end, wherein thetwo open ends are interconnected by a passage surrounded by an interiorsurface of the sleeve, the sleeve comprising: (i) a medicinal sectionadapted to be loaded with a medicinal composition; and (ii) a perforatedsection comprising a plurality of openings, each opening having adimension of about 1 mm to about 2 cm in a relaxed state of the sleeve,wherein the medicinal section and the perforated section are twodiscrete sections which are located on circumferentially opposite sidesof the sleeve and only the perforated section has the plurality ofopenings in the sleeve, wherein the medicinal section and the perforatedsection overlap when the passage of the sleeve is collapsed and thesleeve is flattened onto itself, wherein the passage of the sleeve issized so that the interior surface of the sleeve contacts a body portionwhen it is inserted into the passage of the sleeve through the openends, and wherein the medicinal section further comprises a reinforcingmaterial made of secondary fibers that are different from primary fibersused to make the sleeve, and wherein the reinforcing material is coloreddifferently than the rest of the sleeve; and (b) applying the medicinalcomposition to the interior surface of the sleeve at the medicinalsection through the openings at the perforated section of the sleeve.17. The method of claim 16, wherein the sleeve is made of a knittedfabric wherein the perforated section is an integral part of the knittedfabric that is more loosely knitted than the rest of the sleeve, and themedicinal section includes low moisture absorbing secondary fibers. 18.The method of claim 17, wherein the medicinal composition comprisesmenthol as an active ingredient.